1522 Lone Oak Rdr INSPECTI4N RECURD Control No. 1076
CITY OF EAGAN PERMIT TYPE: Bi' i i 1' 1Ny
3830 Pilot Knob Road Permit Number: 00 14 f' h
Eagan, Minnesota 55123 Date lssued: 09f18/92
; (612) 681-4675
SlTE ADDRESS: Lo r 4 i t H 1. UC K t zEi APPLICANT:
if,2: LpIrE AAK RD IaA1tTLEBEM PAUL
i SECTION 9 ('61?) +154-4109
: • ? ?. ? 7' ? „
U{ ... .:h.. i,
L .
PERMLTS?JtB/T?YP? Jso?tr TYPE OF WORK: NEN
? CIE9GRIPTIOM liEYACHFIi
Pamlt No. Permit Holder Daas Tibplwns #
S/{N
PLUMBING
HVAC
ELEGTRIC
EIECTRIG
kmpsotfon DO% htsp. Camnoeb
Footi,gs 1 92
Foundabon
FrartNng
Roofirg
Rough Plbg. I
Rouqh Htg.
Ntil. I
i
Flrepiaoe I
Final Htg.
Orsat Test
Fln81 Pbg. Plbp. lnspsctor - No4Hy Plumber
Corist. AAetef
Engr./Plen
Bidg. Flnel ??D
Dedc Ftg.
Declc Flnal
weli
Pr. oisp.
CITY OF EAGAN Remarks -"????-'
Addition Section 9 Lot Rik Parcel 10 00900 110 28
owner urc,?l Street 1522 Lor18 Oak Rd, stace EagaIZ,MN 55121
- ? _?.c???-.1 309s - E
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1968 106.75 30 Paid
# SEWER LATERAL 1970 ZO
WATERMAIN
, # WATER LATERAL 1' 1970 1380.00 9.00 20
WATER AREA 1977 208.8O 1.2 15
* STORM 5EW TRK 1970 20
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 16O•o 3271 6-22-76
8UILDING PER.
SAC 200. -
PARK
CITY OF EAGAN
3795 Pilof Knob Road
Eogan, Mlnnesota 55122
Phone: 454-8100
'?-?TT0kTr-A/f-' PERMIT
DAte: I-20-79 ?
Site Address:
Lot
1522 Icm- Oa}C R"er3
Block
Sub/5ec. _14' 110--28
Receipt No.:
Single
Residential
No. 3?Q
?
Name ' Pma iiartiebm New/Aiter./Repoir. ?
? Address T522 i? Oak J%>V Cost of Instollotion
City Phone: Permit Fee S • On
Name Surchorge
.
? Address
0
u ?• .,
City _ Phone: Total This Permit is issued on the express condition that oll work shall be done in accordance with all appliwble Stote of
Minnesoto Stotutes ond City of Eogan Ordinances.
Building Official
CITY ot tAGAN
BUILDING PERMIT
Owne: HARTLEBEN, N. PAU?L,
........................................................................
. ROAD
Addrecs (presan!) 1522 ... ...LONE .... OAK.
............................................
Sullder .......... KNUT............... F...JE.....L......DHE......I...M ................................................
Addrecc 5243 BLOOMINGTON AVE....... SO..................
DESCAIPTIOIQ
N4 4099
3785 Piloi Knob Aoad
Eegan, Minnesola 55122
454-8100
Dela ........10/1/76
Biories To Be Uead For Fron! Depth Heigh! Eei. Coa! Parm!! Fea Ramarks
PATIO DECK
1,850 9.00
1.00
s/c
or
1522 LONE OAK ROAD - SECTIOPT 9
11011)
This permit doas not aulhorise the use of sixeels, roads, alleys or sidewalks ao: dow it give !hs ownsr os 6fa ageat
the tighS !o creafe any slluafion which is a auisance or which precenla a hasasd !0 2he hoelth, safelp, eoaveniencs and
general weltare !o anpone in the eommunify.
THIS PEAMIT MUST BE KEPT ON THE PREMISE WHILE TIiE WORK IS IN PAOGAESS.
This is !o eerlifp. !hal.... KDILIM-..&J-ELD.H.fi-Sb1 ....................daspermisaion to aree! n............. E.ATI.O...DEGX.................. _nPOn
the above described premise subjec! !o the provisions of all applicable Ord'utances fos the Citp of Eagan.
...... ..,?/... .-' -?-z•"-" .................."--._..."--............ Per ....l ..??.... . ? !h?.Y..7."_..............i?., 1
.... _......•_'
Mayoz Suilding Iaspee2or
YILLAGE OF EACAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: 2002
Ea9on,MN 55112 DATE: 6/22/76
Zoning: ? No. oF Units: 1
owner: N. Pa Hartleben
Address: f/) 1)4 ?!&'l-?1 '
Sire Address: 1522 Lo-ne Oak Ruad /o -a o o? •-/??•a1
same WATER TURNED OFF A CURB ?
eter No.: 24803699 Connection Charge: 160.00 pd
Size: 5/8 Fock
Reader No.: 742432
I agrea Tdµ?py?witYthe Villaga o{ Eagan
Ordinonca ??(?
Y?,!??J I
gY
Date of Insp.:
Account Deposit:
Permi[ Fee: 10.00 pd
Sun:harge: .50 pd
-
60.00 pd
Misa Chazges:
Total: 1.30
Date Paid:
Insp.: -
} Minnesota State Board of Electricity
3950- University Ave., St. Paul, Minn. 55104-Phone 645-7703 ? -
r REQUEST FOR ELECTRICAL INSPECTION R?3804
CHCK BELOW WOAK COVERED BY THIS REQUEST
Type ot Building New Add. Rep. Check Appliwces Wved For Check Fquipment Wued For
Home ? 151 ? Range ? 1'emporary Wiring ?
Duplex ? ? ? WaterHeater ? Ligh[ingFirz[ures ?
Apt. Bldg. 0 ? ? Dryer ? Electric Heating ?
Commercial Bldg. ? ? ? Fumace 0 Silo Unioader ?
Industrial Bldg. ? ? ? Au Conditioner 13 Buik Milk Tank ?
Farm ? ? ? List List
Othei 0 ? ' ` ? p
Heiets( Rehers?
COMPUTE INSPECTION FEE BELOW
Service Entiance Size: # Fee Feeders&.Subfeedets: # Fee Circuits: # Fee
0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres 2 0
101 co 200 Amps.
Above 200 Amps. 31 t A es
Ab
gik p 31 to 100 Am res
Above 100 Amps.
Transformers Re teCo "r Partinlorotheifee
Signs 1 1 Sp 1 In c[io Minimum f
Remazks T07AL E 10G 2.5
I, the Electrical Inspector, hereby certify that the above inspection has been m'trde?'
(Rough-in) Date
(Final) Date
This request void 18 months from
This reque.9t void 18 months from !D o04U? /? qv?a?
R 53804
Date of this Request tlPril 13,7979
I, as [R Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. 1522 Lonesak Road
Section Township
Which is occupied by Paul Hartlebeen
Eagan
Range County Dakota
Is a roughin inspection required on this job? Ndn Yes ? Ready Now 13 Will Cap ?
Power Supplier NSP Address
Electrical Contractor Lightning IIectric Co. , Inc. Contractor's License No. 36288
(COmpany Name)
Mailing Address 1987 Stillwater Avenue St. Paul, Minnesota 55119
{?Itttricai Contractor or Owner Making Is Installation)
Authorized S?gnature . .? ??x-?-.c?.?- Phone No.?38-8896
o.
????? ????? ???? This inspection reques wiil nat 6e accepted 6y the
State Baard unless proper inspection fee is enclosed.
I II I II I II II RE?UEST FOR ELECTRICAL INSPECTION 6`114
MinnesoW State Board of Electricity
1821 s 0 W02 6 3 * Phone (612)s? A?v? raui, MN ssioa ?
Home Duplex Apt. Bldg. Othe%: " New Addn
ommercial Induskial Farm Remod Re air
ir Cond. Htg. Equip. Water Hfr. Load Mgmf. Other.
D er Ran e Ele<. Heat Tem .$ervice
a6ove tha woik covered by this request. Enter remarks in fhis space ond on Ihe bock of fhe white copy only.
re--p (acmeafi
Calculate Inspecfion Fee - Thu Inspection Requesf will not be accepied without the correct (ee:
Olher Fee 8 $ervice Enhance S¢e Fee # Circvils/Feeders Fee
Mo6ile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Stree} Ltg./rraffi<Sig. Above 200 Amps o e 700 Amps
Tlonsformef/Genemtor IN6PECTOq'SUSEONLY TOTAL
Sign/Outline L}g. Xfmr. ? ? ?
Alarm/Remote Confrol
$Wimmin9 POOl I here mni Ihat 1 im d nml in ollohon de ibed herein on the dabs sloled
Irfi9o}ion Boom Rough.ln - Date
Special Inspedion
Investigativefee _
F?nol ?.!
DoMy
THIS INSTALLATION MAY 9E OR)ERED UISCONNECTED IF OT COMPLETED WITHIN 1 MONTHS.
302- 2 6 3 g OFtIC US ONLY This reqoesr wid 18 months (rom volidanon dare pnnted in Ihis baz
/fG - ?
PLEASE PRINT OR TYPE - Q 9
Reqoml Wh? ^
? Raugh-in inspecnon mqwred2 ? Yes 00-1
rYou m?sl <oll the inzpeclur when ready) impecnon Oiher Thon Roogh-In: ady Naw ? Will Cell
DaM Ready
I?,fcensed confraclor ? owner hereby requesf inspedion of the above elecfrical work at:
Jo6 Aildress (SVee, eox, or Route o.?
a ? ?one
, Ciry
Q ?I Lp Code
S 1
SMion No. Townahip Nome ar No. Range No Fbe N. Counyl ( /
Orcupont j ? Phane N. C??__ /'_ D
?(?
Pov.er5upplier Addresz
Elechim hoaor
ine)
ame) Conka r Lcense Na Maeror Lc. N. (Plonl Elea Only)
CLC
g
Q J I
M. d u( nlraclor r? Igp I, sMllcypn)? ?
Au onzed ignaNr (Convo O+ne P rbrtnieg Insbllanon?
_ /?4 ?-, P neNo
,6 w6
EB-OOOOlA10 95' STATEBOAitDC?'?EEINSTAUCTIONSONBACKOFVELLOWCOPY
CITY USE ONLY
LOT q BL V) RECEIPT #: 1 I
SUBD. V, l,V Y,- 1 RECEIPT DATE:
MECHANICAL PERMIT #
] 999 MECHANICi4L PERMIT (RESIDEMfIAL)
CITY OF HAfiAN
3$30 PILOT KNOS RD
EAfiAN MN 551 EY
(651) 681-4675
Date•
Complete this section onlv if you aze installing HVAC in a single family dwelling, townhome or condo under
construction and not ownerloccuuied.
- ii '-".C: v-100 iv1 ^u T L'
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 eaJ
30.00
6.00
State Surchazge .50
Total $
Complete this section onlv if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New Alteration Repair _ Other
Reminder: Call 681-4675 for inspections.
? Furnace Airconditioning
_ Air exchanger
Other
$ 3G."vv"
State Surcharge 50
Minimum Total Due Qn
SITE ADDRESS: Z?-O N L _ C5 h?L ?(-, O
OWNER NAME: _'TA v L_ t"? F 2Z LL l'?LN _ PHONE #: /0GJ I -q5 LLLy ? O9
(AREA CODE)
INSTALLER NAME: ? E?k C? F N? k(N ? EAT ? ?t C? r??P?PHONE #: ? ( Z --7 ZLI' ( 59
? (AREA CODE)
STREET ADDRESS: )S\?) C-
CITY: k N N E_N C?oTATE: M ZIP: 5cJyV?
SI 1 ATURE O PERMITTEE
L IfO BL c7l CITY USE ONLY RECEIPT #: 59 26)1
SUBD. / DATE: ????
1996 MECHANICAL PERMOT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT-KNOB RD
EAGAN, MN 55122 (612)681-4675
Please complete for: • single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on fumace
V ./?y,1_.,Jn ?.?r ?r-yli?iftnjrg 4?l?_n girevn?.on?+er ; a, \/greea c\ 1e!g!? gtr,
Date: -9 ( _
FEES
? Minimum Fee: Add-on/Ftemodel (existing residence onl $ 20.00
• HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @ $3.00 each)
? State Surcharge
TOTAL lan ?
SITE ADDRESS-
OWNER NAME: N a,A k n _ PHONE #:
srumano ?ff nm.s u.ro a? m ea.romTMxr co•
INSTALLER NAME• .??,,.M,?:TV -
WMDPWa, MN ssao"ooe
STREET ADDRESS• OU424-2M
CITY:
PHONE #: (
STATE: . ZIP:
?t- VaERERf11 P
I CITY OF EAGAN
X3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
Control No. 1076
BUILAING
001455
09/18/92 !
SITE ADDRESS:
1522 I.ONE OAK RD
LOT: 11 BLOCK: 28
SECTION 9
DESCRIPTION:
DETACHEp
'Building PermiC Type
' Buildfnq`'Work Type
' UBC Occupancy
Construction type
Zoning
Building Length ?
Building Width
.?
REMARKS:
6ARAGE/ACCESSORY
NEW
M--1
V-N
R-1
30
24
T?r;?'_•?,? l?'??? /it?-'i?-i?,,--.?
+LI L'
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
Total Fee
$12,000
$135.00
$87.75
$6.00
$228.75
CONTRACTOR:
OWNER: - Applicant -
HARTLEBEN PAUL
1522 LONE OAK RD
EAGAN MN 55121
(612)454-4109
I hereby acknowledge that Z have read this applicati6n and state that the
information is correct and agree to comply with all applicable State of Mn.
Stetutes and City of Eagan Ordinances.
?
APPLICANT/PERMITEE SIGNATURE ISSUED BY: 91 NATUR
, hRMIT #
REACTIYATE
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675 `
Reco
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs. ,
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 capy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested onc ermit is issued.
Date 9- ii-9a i / Valuation of work 3, o00 . o 0
Site Address: 151-Z? 1,0Aio " 92) &?,dn1 -/?"I?v
?
STREET SUI7E x
Tenant Name: (commercial only)
IAT 1L BIACR ?
a?? Y /{?_„ /?
FusD.
a
P
?a
P.I.D. M
"
,
f/
, / _ vo 90 - ! - 2
Descri tion of work: DL:7,?\CHe'D c4aRac:F.
The applicant is: IQ Owner 11 Contractor ? Other (Deeeribe)
Name A_ EU Phone 4
Property LAsr FIRS,
Owner Address 16-aa /„o,/e e,,Al_
STREET STE R
City 5tate /Y/V Zip SS/a /
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
ArchitecU
Engineer Name Registration #
Address
City State Zip
Sewer 3 water licensed plumber . Processing time for
sewer h water permits is two days once area has been approved.
I hereby acknowledge that I have read this applicatton and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: zz. 2'4_P
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation
? 02 SF Dwg.
O 03 SF Addition
? 04 SF Porch
? 05 Sf Misc.
WORK TYPE
I?' 31 New
?032 Addition
? 06 Duplex
? 07 4-Plex
? 09 S-Plex
? 09 12-Plex
? 10 Multi. Add'1
O 33 Alterations
? 34 Repai,r
GENERAL INFORMATION
..?
.....> ? . .:
.
? 11 Apt./Lodging
? 12 Multi. Misc.
el 13 6arage/Accessory
O 14 Fireplace
? 15 Deck
? 35 Tenant Finish
O 36 Move ,
Const. (Actual) v-u Basement sq. ft.
(Allowable) v- N lst F1. sq. ft.
UBC Occupancy M_I 2nd F1. sq. ft.
Zoning R_I Sq. Ft. total
8 of Stories Footprint Sq. ft.
Length On-site well
Depth A4 ' On-site sewage
APPROVALS,.
Ptanning Building
Engineering Variance
REQUIRED INSPECTIONS
? Site ,'E!I.Footing
O Mallboard _P? Final
'B Framing
? Draintile
c,(T3s
? Insulation
? Fireplace
Permit Fee j35,00
Surcharge 6.00
Plan Review g7,?5
License
MWCC SAC
City SAC
Water Conn.
Nater Meter
Acct. Deposit
S/M Permit
S/N Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
CoPies
Other
Total:
SAC %
SAC Units
v.iuatim: g 17r1 noa
c24X3o ' 92ea Xjb= /? S 2 v
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 31 Demolish
.
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
}- ?
Isr y / ?^',? OAk
pi>
-A?
a' -??'-
?L 'n
.
$
S ?
i ,.
UParket? ??g
U. Registered Lend Surveyor end Prdeaeiona! Gngineer Penland Ave. 30.
? r . MinneepollM Minn.
? Phone 50 1-7252 O dmm.e"s iron mamummc
., • PLAY OIP SURVEY.;:'
? _ .. , ? , ,•
? . .: .
? N rtsopER?i?Y oF
the N:751'>olfhcE.15,9{fof f/1n1 par/ eF'4od,t0 t?V sec r,ahq rtrIT za ,.
? bcscribed es rouow< _Be9tn??n9?p?[.?/FL1?. //?/e o?,f??Gavl. tef? 1B.Td1 E. af ifs N?Yto_ t?tneeSSA-S9JY,
.?9R9/ !'t fe /he N. /int o!' /ef (7) McCar/hf Aid9e f,+enee .f'S7's/E`aten9 i/ieN. /ioe ePsmml
!af(Il__/?!Y4t_f_+`...t?.ihtlV? c?'?CC_fA?fy?/?rixeM7/'E. SGn fttt??,?E sf?y y?otr? ?o Q
Peih? Whleh is 1053lf. f, ani YlDff S ol tht N.it/, tol'lier of Sa'd Gevf. lnt (/f
t,hrnce_N._yeo ft to /he N/ins ,)P_so,d_covlrei nl_thg& crAYe a/s.np?favd ?W /int Tn
MePeinf o;' drqinninq,trcep! lA'treaf tahen 40 tsunfy 1Poao?Nn./D.
Aa ke tc Ca_yn tv F ^pnn. _
' . ';r?t}S4e??ld?imu+4':? "'4.1:x+"M?1Ny'-? -'$-•.`::-Y...n- +-w:s:.'?.vt,,.,. ,t_
Apornf onlbeN/? poF(ie1dLeffVJec9•;7-zy
wd.eh is 970 ff Eo,rf o{ ttie /?•??'
? q? ? cerner fberee?;
i m m?
I m ^?? ?
c
N
j.1
g,N
?. ..??
?
e
?o
.'..?,,c-'-•n?.-'w'e`.},.r'a'r[?,whL"_?s._,,:..?Cx,?u _.....?.
, . . , . ?.. . .. . „ -? .. ,
CERTIFICATB OF SURVEY 1eu7'eW 14e 11n/?iny en' 1 hercby artify thet on 19.,?? 4ji. q I che propert.y dexribed aiwve nnd thet the eMve plet la?e eotrect
Stete Req. No. 2055 . ' ? ' .
ceprcxtlteUan d said
Jbu// //y A [QbqH• . .
j rl
BUTLDY37G PERf3IT APPLwCA:ION
LOT /I C) BLOCK
PARCEL E SECTIOid DNMBSR SF UYJPLATTED
Aate:4' 29- ? ?
PDDRFSS OF PARCEL /?? A- .LG/?G /?,al e /i?f1'/ -
70"t03ITG OCCUPAPICY L'SE %O /?N c
E£TIMATF,O COST
OWI]EIL /y
=lu? ?7?%?? ?/l? TELEPHONE NO.
. r
ADDxEss .CoAre D,oe .61/ -
coNrRAeTOR
?% l?f'??/Eiry7
ff ssLEnsorE No.
? ?
ADDRESS
Note: Include site p2an, building plans, and energy calculations vJith this
application
Signed
OE'FICE USE
a'O
VALUATIOiT af-jga:21 l
SAC
VIATER C0111VEC1SON
YSATER n9ETER
BUILDSNG PERMIT FEE ?
i
SURCHAItGE FLE -
I'ZAT3 CF:ECIC FES
PAFtK DEDICATIOId FEE
OTHER
TOTAL* ?z ? '.
APPROVALS:
ASSESSMEVT CLERK BUILDING DEPT. POI,ICE DEPT.
r4AmER & SL°rSER DEPT. EIRE DEPT. PAR& DEPT
?
MASTER CARD
LOCATION 1522 LONE OAK ROAD - /,e 0D9DD //D i2 ?'
OWNER HARTLEBEN, N. PAUL -
STRUCTURE AND
LAND USED AS Section 9 ? /-Ip %
Permit
I I
No.
? `Issued ? 6 Issued To
Contractor Owner
BUILDING Ojj? - ?
-9y'Z3/76
Knut Fjeldheim
PLUMBING
GESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER I
OTHER
Items Approved
(Initiai)
Date
Remarks
Distance From Well
FOOTI NG SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIEID FT.
FINAL
ELECTRICAL
HE.4TING DEPTH
OF WELI
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
J'? h/"
Violatians Noted
on Back
COMMENTS:
EAGA2I TOWNSHIP
3795 Pilot Rnob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PFRMIT FOR WATER SL+RVIC$ CONPIECTION
Date: June 5. 1969
Silling Name: N. Paul Hartleben
pumeT• N. Paul Hartleben
Plumber: ldaa°a1 Pl?vnbj'q.'=W°°+,^g ^o.
Meter
Number: 284 %0 61)96o j/D ?iY
Site Address: 1522 Lone Oak Rd.
Billing Addxeas 1522 Lone Oak Rd.
Having water brought up to house, Meter No.
Permit Fee 7• ??-
but not connecting at this time.
I Meter Reading Meter Dep.
Meter Sealed: Yea_ lAdd'1 Chg.
NO I 1bta1 Chg.
Building is a:
Residence X
Multiple ISo. Units
Commercial
Industrial
Other
Inspected by
Date
Remarka:
By:
Chief Iaspector
In consideration of the issue and deliverq to me of the abwe permit, I
hereby agree to do ttm proposed work ia accordance with the rules and
regulations of &agan Towaship, Dakota County, Mianesota".
gy;?lj-??/.??,?..Fr„_ .?
rro.?r i
?
T. ? o? 1,• g z u e+•ng; Cn
Please notify the above office when ready for inspection and connection.
lD OD?'10? /1 t5 Z?
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: June 5. 1969
OWNER• N. Paul Hartleben
NUMBER gW 410
Addresa 1522 Lone Oak Rd.
PLUMBER W enzel Plumbing & Heating TypE OF PIPE Heavy Cast Iron
DESCRIPTION OF BUIIDING
Industrfal Commercial Residential Multiple Dwelling No. of un£ts
X
Location of Connections: Connection Charge 200.00 pd.
Account Dep. 15.00 pd.
Permit Fee
Street Repairs
Total
Inspected by:
Date
Remarks•
Sy
Chief InspecCOr
In consideration of the issue asad delivery to me of the above pezmit, i
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan 1bwmship, Dakota County, Minneaota
By
Wenz 1 Plumbing & Heating Co.
Please notifq when ready for.inepection and connection and before any portion
of the work is covered.
2006 RESIDENTIAL BUILDING rERMiT nrrLrcaTTON
City Of Eagaa
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reouiremenls
3 regnstered site surveys showing sq. R of lot, sq. ft of house; and all roofed areas
(20% maximum lot coverege allowed)
1 Soils Report if proposed building is to be placed on distur6ed soil
2 cople.s ot plan showing beam & window sizes, poured found design, etc.
1 set of Energy Calculations
3 copies of T2e Preservation Plan if lot platted after 71153
Rim Joist Detail Opfions selection sheel (buildin9s with 3 or less unAS)
Minne3asco mechanicel venGlation fortn
RemodeUReoair Reauirements
2 wpies of plan showing fooGngs, beams, joists
1 set of Energy Calala6ons for heatei additions
1 site survey for additions & decks
AddNOn - indicafe if on-sfte seplic system
Offic'e l1seonl'v
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Date _!T_/ _2?k_/ Ob
Si[eAddress Construction Cost /4 3 e0°.°
Unit/Ste #
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Description of Work /ID C- - V1.0 0
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Multi-Family Bldg _ Y_ N
Fireplace(s) _ 0_ 1 _ 2
Property Owner 124 •.? 6G c2-r ???EV?, Telephone #((-G1)?5
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Contractor
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Address _a2164p-? w ppu_P? ?u •
State `AA, ,n. -°-- Ci? ?A V-F1, tr_. .
Zip 'SSOq 4 Telephone#(qSa-) 880-09$9
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesob Rules 7672
Energy Code CategOry , Residential Ventilahon Category 1 Worksheet • New Energy Code Wodcsheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In ihe last 12 months, has the City of Eagan issued a percnit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/ W ater Contractor
Telephone #(
Telephone #(
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Applicant's Printed Nanr6 Applicant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169580
Date Issued:06/01/2021
Permit Category:ePermit
Site Address: 1522 Lone Oak Rd
Lot:011 Block: 028 Addition: Section 9
PID:10-00900-28-110
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
N Paul & Mildred B Hartleben
1522 Lone Oak Rd
Saint Paul MN 55121--111
Midwest Exteriors Mn
7920 Hill Trail N
Lake Elmo MN 55042
(651) 346-9477
Applicant/Permitee: Signature Issued By: Signature